The nature of heart failure as a challenge to the integration of palliative care services

2007 ◽  
Vol 1 (4) ◽  
pp. 249-254 ◽  
Author(s):  
Brad Stuart
2012 ◽  
pp. 147451511243739
Author(s):  
Miriam J Johnson ◽  
Annie MacCallum ◽  
Jane Butler ◽  
Angie Rogers ◽  
Emily Sam ◽  
...  

2013 ◽  
Vol 19 (8) ◽  
pp. S72-S73
Author(s):  
Lorraine S. Evangelista ◽  
Jennifer Ballard-Hernandez ◽  
Dawn Lombardo ◽  
Shaista Malik ◽  
Marjan Motie ◽  
...  

2020 ◽  
Vol 26 (6) ◽  
pp. 292-300
Author(s):  
Helen Walthall ◽  
Christie Roberts ◽  
Dan Butcher ◽  
Sue Schutz

Background: Heart failure is highly prevalent with poor outcomes, yet only a small proportion of patients receive specialist palliative care services. Aim: To explore if a programme focusing on support and symptom management of people with heart failure in a hospice environment would be acceptable and of benefit to patients. Methods: A pre/post intervention study design using mixed methods was used to evaluate the programme. The programme was delivered in 2-hour time slots over a period of 8 weeks. Participants completed three questionnaires pre- and post- and were interviewed within 1 week of completion. The study was conducted between June 2014 and January 2015. Findings: A response rate of 51.7% (n=15) was narrowed to a final sample size of 12 patients. The questionnaire results showed a positive impact on participants' wellbeing and views regarding the use of a hospice, but a desire for greater focus on emotional support. Four key themes emerged from inductive qualitative analysis: demystifying perceptions about hospice care; positivity about wellbeing; learning together; and consideration of end-of-life preparation. Conclusion: This adapted programme provides a useful model for the increased integration of palliative care into provision for those living with advancing heart failure.


2012 ◽  
Vol 11 (2) ◽  
pp. 190-196 ◽  
Author(s):  
Miriam J Johnson ◽  
Annie MacCallum ◽  
Jane Butler ◽  
Angie Rogers ◽  
Emily Sam ◽  
...  

2014 ◽  
Vol 17 (1) ◽  
pp. 75-79 ◽  
Author(s):  
Lorraine S. Evangelista ◽  
Solomon Liao ◽  
Marjan Motie ◽  
Nathalie De Michelis ◽  
Jennifer Ballard-Hernandez ◽  
...  

2006 ◽  
Vol 20 (3) ◽  
pp. 211-214 ◽  
Author(s):  
MJ Johnson ◽  
T Houghton

Over the past 10 years, there has been an increasing demand for heart failure patients to have access to palliative care services. The concerns of this group have been highlighted and there is growing recognition in national palliative care and cardiology bodies that these concerns should be addressed. In spite of this, there is little improvement. There are concerns about the acceptability of hospice services to heart failure patients, worries about service overload, lack of appropriate knowledge and skills and difficulty in knowing when to refer a heart failure patient for palliative care. In Scarborough, a joint approach by a cardiologist and palliative care physician was set up in September 2000. This paper describes the service so far in an attempt to address some of the above reservations and to provide a catalyst and encouragement to others beginning a similar venture.


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